Author: Carlos Octávio Ocké-ReisPublisher:
ISBN:
Category :
Languages : en
Pages : 30
Book Description
Challenges in the Regulation of Brazilian Private Health Insurance
Author: Carlos Octávio Ocké-ReisPublisher:
ISBN:
Category :
Languages : en
Pages : 30
Book Description
Challenges of the Private Health Plans Regulation in Brazil
Author: Carlos Octávio Ocké-ReisPublisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
The idea of regulating private health plans so as to favor major players and the "managed care" is incompatible with the guidelines of the National Health System [Sistema Único de Saúde (SUS)] and for this reason we defend instead a regulatory action aiming to strengthen the public sphere. In particular, we discuss how this alternative could improve the regulatory capacity of the National Supplementary Health Agency [Agência Nacional de Saúde Suplementar (ANS)] to face the economic crisis in the health plan marketplace, dispelling the mistaken notion that the market, once strengthened, will cooperate with the SUS rather than contaminate it.
The Regulation in Private Health Care Market in Brazil
Author: Marcia Regina GodoyPublisher:
ISBN:
Category :
Languages : en
Pages : 0
Book Description
INTRODUCTION: The Brazilian private health insurance sector has operated since 1940's without regulation. In 1998, the Brazilian Government stating the regulation of this sector. The reform improved the health insurance coverage level, stating no limit to physician visits and proibition to cream selection. OBJECTIVE: We aim at evaluating whether private health insured individuals have exhibited changes in their behavior on medical services consumption, it is whether the regulation augmented the moral hazard in this market. We also evaluated the effects the regulation in demand to health insurance. METHODS: We used three econometric methods to count data: Poisson Regression, Negative Binomial Regression and Count Data Quantile Regression. Also we used the Probit regression. The data come from the National Household Survey Sample (Pesquisa Nacional de Amostra de Domicilios-PNAD) for 1998 (before regulation) and 2003 (after regulation). The estimator of difference-in-difference (diff-in-diff) are used to estimate the impact of regulation. RESULTS: The results showed that before and after regulation there are moral hazard in health insurance. The dummy variable diff-in-diff (year*regulation) was negative and significative stastistically suggesting its that after regulation the physician visits is lower than before. The results of Probit regression showed that after regulation there are adverse selection, since the number of chronical diseases variable after regulation is positive and significative statistically. CONCLUSION: The results this paper apponted that after the regulation there are two important problems in Brazilian private health insurance: adverse selection and moral hazard. Only after regulation there are adverse selection.These problems can may generate inefficient outcomes in Brazilian private health insurance market.
Challenges of the Private Health Plans Regulation in Brazil
Author: Carlos Octávio Ocké-ReisPublisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 40
Book Description
New Health Technologies
Author: CollectifPublisher: OECD
ISBN: 9264266445
Category : Social Science
Languages : en
Pages : 239
Book Description
This report discusses the need for an integrated and cyclical approach to managing health technology in order to mitigate clinical and financial risks, and ensure acceptable value for money. The analysis considers how health systems and policy makers should adapt in terms of development, assessment and uptake of health technologies. The first chapter provides an examination of adoption and impact of medical technology in the past and how health systems are preparing for continuation of such trends in the future. Subsequent chapters examine the need to balance innovation, value, and access for pharmaceuticals and medical devices, respectively, followed by a consideration of their combined promise in the area of precision medicine. The final chapter examines how health systems can make better use of health data and digital technologies. The report focuses on opportunities linked to new and emerging technologies as well as current challenges faced by policy makers, and suggests a new governance framework to address these challenges.
Twenty Years of Health System Reform in Brazil
Author: Michele GragnolatiPublisher: World Bank Publications
ISBN: 0821398431
Category : Business & Economics
Languages : en
Pages : 132
Book Description
It has been more than 20 years since Brazil's 1988 Constitution formally established the Unified Health System (Sistema Unico de Saude, SUS). Building on reforms that started in the 1980s, the SUS represented a significant break with the past, establishing health care as a fundamental right and duty of the state and initiating a process of fundamentally transforming Brazil's health system to achieve this goal. This report aims to answer two main questions. First is have the SUS reforms transformed the health system as envisaged 20 years ago? Second, have the reforms led to improvements with regard to access to services, financial protection, and health outcomes? In addressing these questions, the report revisits ground covered in previous assessments, but also brings to bear additional or more recent data and places Brazil's health system in an international context. The report shows that the health system reforms can be credited with significant achievements. The report points to some promising directions for health system reforms that will allow Brazil to continue building on the achievements made to date. Although it is possible to reach some broad conclusions, there are many gaps and caveats in the story. A secondary aim of the report is to consider how some of these gaps can be filled through improved monitoring of health system performance and future research. The introduction presents a short review of the history of the SUS, describes the core principles that underpinned the reform, and offers a brief description of the evaluation framework used in the report. Chapter two presents findings on the extent to which the SUS reforms have transformed the health system, focusing on delivery, financing, and governance. Chapter three asks whether the reforms have resulted in improved outcomes with regard to access to services, financial protection, quality, health outcomes, and efficiency. The con
Health Systems in Transition Third Edition
Author: Gregory P. MarchildonPublisher: University of Toronto Press
ISBN: 1487508085
Category : Health care reform
Languages : en
Pages : 235
Book Description
This book provides insight into how the Canadian health care system is financed and organized, how it has evolved over time, and how well it performs relative to peer countries.
Brazil--the Organization, Delivery and Financing of Health Care in Brazil
Author: Crossing the Global Quality Chasm
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 0309477891
Category : Medical
Languages : en
Pages : 399
Book Description
In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Private Health Insurance
Author: Sarah ThomsonPublisher: Cambridge University Press
ISBN: 1108901166
Category : Business & Economics
Languages : en
Pages : 593
Book Description
Can private health insurance fill gaps in publicly financed coverage? Does it enhance access to health care or improve efficiency in health service delivery? Will it provide fiscal relief for governments struggling to raise public revenue for health? This book examines the successes, failures and challenges of private health insurance globally through country case studies written by leading national experts. Each case study considers the role of history and politics in shaping private health insurance and determining its impact on health system performance. Despite great diversity in the size and functioning of markets for private health insurance, the book identifies clear patterns across countries, drawing out valuable lessons for policymakers while showing how history and politics have proved a persistent barrier to effective public policy. This title is also available as Open Access on Cambridge Core.